Restless legs syndrome can be debilitating - taxing your job, health and relationships. Here are some tips to reduce RLS symptoms and take back your downtime...

Do friends or family members roll their eyes when you can’t still long enough to watch your favorite TV show, enjoy dinner or take in a movie or play?

“Don’t be dissuaded by people who think that restless legs syndrome is ‘all in your head,’” advises Donald Watenpaugh, Ph.D., director of Sleep Consultants in Fort Worth, Texas, and a restless legs syndrome sufferer.

It’s a real disease with recognizable features and an underlying biological basis, agrees David Rye, M.D., Ph.D., professor of neurology at Emory University School of Medicine in Atlanta, director of the Emory Healthcare Program in Sleep and co-author of a 2007 landmark study that isolated a gene believed to dramatically increase the risk of restless legs syndrome.

About 10% of women suffer from restless legs syndrome (RLS), a neurological sleep and movement disorder that causes painful, crawling sensations in the legs and an irresistible urge to move them.

According to the National Institutes of Health, 2%-3% of adults, or more than 5 million people, have reported moderate to severe RLS symptoms.

Although RLS isn’t curable, you can take many steps to calm symptoms.

“To isolate things that may trigger symptoms, record eating, exercise, medication and sleep habits in a diary and watch for patterns,” says Jacci Bainbridge, Pharm.D., president of the Restless Legs Syndrome Foundation board and a professor of pharmacology and neurology at the University of Colorado in Denver. (For a seven-day diary, visit www.rls.org.)

Read on for 9 ways to tame RLS symptoms.

1. Beware of high blood pressure.The higher your blood pressure, the worse your RLS symptoms are likely to be, especially if you're middle-aged, according to a 2011 Harvard study of 98,000 women.

Taming hypertension can help reduce RLS symptoms, the study found.

To lower blood pressure, “eat a healthy diet, engage in regular physical activity and maintain a healthy weight,” advises lead researcher Xiang Gao, M.D., Ph.D., assistant professor of medicine at Harvard Medical School and author of several studies on restless legs syndrome.

2. Lose the ab flab.Obese women with excess belly fat may be more likely to develop restless legs syndrome than those who maintain a healthy weight, according to a 2009 Harvard study conducted on more than 80,000 overweight people with restless legs syndrome.

In the study, women with a body mass index (BMI) of 30 or more were 42% more likely to have RLS than those who were at normal weight or underweight (BMI of less than 23).

The underlying culprit could be decreased dopamine levels in the brains of obese people, says Dr. Gao, lead study author.

“Since decreased dopamine function is believed to play a critical role in restless legs syndrome as well, this could be the link between the two,” he says.

To lose weight and blast belly fat, eat a fat-burning diet with 30% protein, 40% carbohydrates and 30% fat, suggests David Edelson, M.D., a New York-based internist and bariatric surgeon and assistant clinical professor of medicine at Albert Einstein College of Medicine in New York.

Add weight training, and you’ll burn more calories and lose more pounds than women who rely solely on diet, according to a 2010 study at the University of Missouri.

But be cautious at the gym, says Michelle Bommarito, an American College of Exercise (ACE)-certified fitness instructor and personal trainer who works with women who have restless legs syndrome.

“Women with restless legs syndrome should avoid weight machines that overstress their legs, such as leg presses, treadmills and elliptical trainers and focus on machines that work their arms, shoulders and abdominal muscles, such as abdominal crunch machines, chest press machines and bicep curl machines,” she says.

3. Find the right amount of exercise.Engaging in aerobic and lower-body resistance training three times weekly will help decrease RLS symptoms, according to a 2011 study conducted by Brigham Young University in Utah.

In fact, if you avoid exercise completely, your symptoms may increase, according to a 2007 study conducted at the University of Kentucky College of Medicine.

But strike a happy medium.

“Overly strenuous exercise, especially if you’ve never done it before, can also aggravate symptoms by irritating and inflaming leg tissues,” Watenpaugh says.

Stick to low-impact exercises such as walking, low-impact aerobics classes and water aerobics and avoid high-impact activities such as running and long-distance running, Bommarito says.

Having sex at bedtime could help relieve bothersome RLS symptoms that otherwise would keep you awake, he says.

But to avoid triggering symptoms, use positions that don’t overstress your legs and don't get too strenuous during sex, he says.

5. Consume enough iron and folate.Patients with restless legs syndrome had decreased iron levels in their cerebrospinal fluid, according to a 2007 review of studies of more than 35,000 patients by Durango Natural Medicine in Colorado.

About 90% of American women are iron-deficient, the Durango study found.

Folate, a vitamin, is also crucial because it's needed to make red blood cells and prevent iron-deficiency anemia.

To find out if you're deficient in iron, get annual tests that detect levels of the metal in your blood, says midwife Jennifer Hensley, R.N., coordinator of nurse-wifery at the University of Colorado College of Nursing in Denver, and part of the International Restless Legs Syndrome Study Group, which is setting guidelines for treating restless legs syndrome during pregnancy.

“Activities that increase alertness often improve symptoms [for a few hours] by changing the mental state and activating the body’s motor system (and increasing dopamine levels),” he explains.

Do something to get your mind absorbed in a game or hobby. For example, play a video game, do a crossword puzzle or needlework, play cards or read an interesting book, Buchfuhrer says.

7. Get help for depression.“Restless legs syndrome can lead to depression, which in turn can interrupt sleep and make symptoms even worse,” says Pam Santamaria, M.D., a neurologist at the Nebraska Medical Center in Omaha.

8. Zone out.Patients with restless legs syndrome who pray, meditate or listen to relaxing music regularly enjoy a temporary reduction in symptoms, according to a 2008 study at Tottori University in Japan.

Practicing a calming ritual known as “progressive muscle relaxation” can also be therapeutic, according to the Restless Legs Syndrome Foundation. Here’s how to do it:

1. Breathe deeply for a few minutes and then tense the muscles in your feet. Hold the tension for a few seconds and then relax.

2. Next, tense your calf muscles. Hold and relax.

3. Do the same with your thigh muscles.

4. Repeat the tensing-and-relaxing pattern, working all the way up your body to your neck and face muscles.

If that technique seems like too much work, get a rub-down.

Patients with restless legs syndrome who received Swedish massage with special attention to their legs twice a week for three weeks enjoyed relief from symptoms for two weeks after treatment, according to a 2011 Brigham Young University study.

What’s Your Restless Legs Syndrome IQ?Restless legs syndrome (RLS) might sound like a simple case of someone feeling on edge. After all, many people shake their legs when they’re antsy, bored or nervous. But there’s more to RLS than restless legs. Find out with this quiz how much you know about this often-misunderstood disorder.

The information contained on www.lifescript.com(the "Site") is provided for informational purposes only and is not meant to substitute for advice from your doctor or health-care professional. This information should not be used for diagnosing or treating a health problem or disease, or prescribing any medication. Always seek the advice of a qualified health-care professional regarding any medical condition. Information and statements provided by the site about dietary supplements have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent any disease. Lifescript does not recommend or endorse any specific tests, physicians, third-party products, procedures, opinions, or other information mentioned on the Site. Reliance on any information provided by Lifescript is solely at your own risk.